Digital amputation/ arthrodesis surgery

Question 1

What are indications for digital amputation?

Answer 1

• Deep digital sepsis / septic arthritis of the distal interphalageal joint
• Retroarticular abscess
• ‘Non healing’ wall lesions
• Toe necrosis (amputation)

Question 2

What are the 3 methods of digital amputation?

Answer 2

• Method 1 = disarticulation, proximal interphalangeal joint
  -foot = washed + disinfected, IV regional block w tourniquet
• Method 2 = not indicated - disruption of blood supply to second phalanx that is left = prolonged recovery
• Method 3

Question 3

What are things that can go wrong with arthrodesis(fusion of bones)? (joint resection)

Answer 3

• Poor post op care
• Problems with remaining claw
• Ascending infections
• Chronic pain
• Failure to achieve ankylosis of the joint